WellCare Signature (PDP) and Classic (PDP) Prescription Drug Plans Directory This booklet provides a list of WellCare Signature (PDP) and Classic (PDP) network pharmacies. This directory is for Alaska. We also list pharmacies that are in our network but are outside Alaska. Please contact WellCare Signature (PDP) and Classic (PDP) at 1-888-550-5252, Monday Sunday, 8 a.m. to 2 a.m. Eastern. Between 2/15/12 and 10/14/12, representatives are available Monday Friday, 8 a.m. to 2 a.m. Eastern for additional information. All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. To get current information about WellCare Signature (PDP) and Classic (PDP) network pharmacies in your area, please visit our website at www.wellcarepdp.com or call Customer Service at 1-888-550-5252, Monday Sunday, 8 a.m. to 2 a.m. Eastern. Between 2/15/12 and 10/14/12, representatives are available Monday Friday, 8 a.m. to 2 a.m. Eastern. TTY users should call 1-888-816-5252. Beneficiaries must use network pharmacies to access their prescription drug benefit. Benefits, formulary, pharmacy network, premium and/or co-payments/coinsurance may change on January 1, 2013. WellCare is a Medicare-approved Part D sponsor. This information is available for free in other languages. Please contact our Customer Service number at 1-877-374-4056 for additional information. Esta información está disponible gratis en otros idiomas. Para información adicional, por favor comuníquese con Servicio al Cliente al 1-877-374-4056. S5967_NA015144_PDP_PHD_ENG_FINAL_34 CMS Approved 07252011 WellCare 2011 NA_05_11 NA34PHD37956E_0511
Introduction This booklet provides a list of WellCare Signature and Classic network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and WellCare Signature or Classic formularies. If you have additional questions, please call Customer Service at 1-888-550-5252, Monday Sunday, 8 a.m. to 2 a.m. Eastern. Between 2/15/12 and 10/14/12, representatives are available Monday Friday, 8 a.m. to 2 a.m. Eastern. TTY users should call 1-888-816-5252. Or, visit www.wellcarepdp.com. We call the pharmacies on this list our network pharmacies because we have made arrangements with them to provide prescription drugs to Plan members. A network pharmacy is a pharmacy where beneficiaries obtain prescription drug benefits provided by WellCare. In most cases, your prescriptions are covered under WellCare Signature and Classic only if they are filled at a network pharmacy or through our mail-order pharmacy service. Once you go to one, you are not required to continue going to the same pharmacy to fill your prescription. You can go to any of our network pharmacies. We will fill prescriptions at non-network pharmacies under certain circumstances as described in your Evidence of Coverage. Preferred pharmacies are pharmacies in our network in which our Plan has negotiated lower cost-sharing for its plan members for covered prescription drugs than at non-preferred pharmacies. However, you will still have access to lower drug prices at non-preferred pharmacies than at out-of-network pharmacies. You may go to either of these types of network pharmacies to receive your covered prescription drugs. Only WellCare Mail-Order is classified as a preferred pharmacy. As a member, you may use a non-preferred mail-order pharmacy, but the amount you pay may be higher than the amount you pay for a preferred mail-order pharmacy. WellCare does not classify pharmacies as preferred or non-preferred in the Chain, Retail, Home Infusion, Long-Term Care, or Indian Health Service/Tribal/Urban Indian Health Program pharmacy types. How to use this pharmacy directory Pharmacies in this directory are grouped by type of pharmacy and listed alphabetically, by state (if the region includes multiple states), county and city. Some pharmacies offer an extended supply of medications. Pharmacies that offer an extended supply of medications are identified by after the pharmacy s phone number. Prior to filling your prescription, please call the pharmacy directly to confirm it has the quantity of medication you need. Some pharmacies are open 24 hours a day. Pharmacies that are open 24 hours a day are identified by after the pharmacy s phone number. Prior to filling your prescription, please call the pharmacy directly to confirm it is open 24 hours a day. I
Some pharmacies offer. This means the pharmacy will accept electronic prescriptions directly from your physician s office. Pharmacies that offer are identified by after the pharmacy s phone number. Prior to filling your prescription, please call the pharmacy directly to confirm it offers. Some mail-order pharmacies are designated as preferred pharmacies. Mail-order pharmacies that are classified as preferred pharmacies are identified by Preferred after the pharmacy s phone number. As a member, the amount you pay may be lower using a preferred mail-order pharmacy than a non-preferred mail-order pharmacy. II
CHAIN PHARMACIES A and P (866) 443-7374 Accredo Health Group (866) 591-9075 Acme Store (877) 932-7948 Aurora (888) 973-8999 Bakers (800) 362-2183 Bartell Drugs (877) 227-8355 Bashas (800) 755-7292 Bel Air (800) RALEYSS Bi Lo (800) 724-0205 Bi-Mart (541) 344-0681 Big Y (413) 784-0600 Biggs (513) 248-9300 Brookshire Brothers (936) 633-4774 Brookshires (903) 534-3000 Buehler Food Markets (888) BUEHLER Cash Wise Foods (877) 251-5505 City Market (877) 415-4647 Coram Healthcare (800) 423-1411 Costco (800) 607-6861 Critical Care Systems (603) 888-1500 1
CHAIN PHARMACIES CVS (800) 746-7287 Dillons (800) 362-2183 Discount Drug Mart (330) 725-2340 Dominicks Finer Foods (877) 723-3929 Duane Reade (212) 273-5700 Eaton Apothecary (508) 429-8506 Econofoods (952) 832-0534 Fagen (219) 987-6468 Farm Fresh Food & (800) 280-6726 Food City (276) 623-5100 Food Lion (800) 811-1748 Fred Meyer (888) 247-4439 Freds (800) 374-7417 Fruth (304) 675-1612 Genuardis (877) 723-3929 Giant (888) 469-4426 Haggen (360) 733-8720 Hannaford (800) 213-9040 Happy Harrys (800) 925-4733 Harmons (866) 427-6661 2
CHAIN PHARMACIES Harris Teeter (800) 432-6111 Homeland (405) 290-3000 Ingles (828) 669-2941 Kerr Drug (800) 494-3053 King Soopers (877) 415-4647 Kinney Drugs (800) 552-8663 Kmart (866) 562-7848 Kroger (866) 221-4141 Longs Drugs (800) 746-7287 Marc s (800) 347-2401 Marsh Supermarkets (800) 382-8798 Medicap (800) 325-1397 Medicine Shoppe (800) 325-1397 Meijer (877) 363-4537 Navarro Discount (888) 628-2770 No Frills Supermarkets (866) 987-6453 Osco (877) 932-7948 Pamida (402) 339-2400 Pathmark (866) 443-7374 Pick N Save (866) 742-6728 3
CHAIN PHARMACIES Price Chopper (800) 666-7667 Publix (800) 242-1227 Qvl (972) 788-2653 Raleys (800) RALEYSS Ralphs (888) 437-3496 Randalls (877) 723-3929 Rite Aid (800) 748-3243 Safeway (877) 723-3929 Sams (888) 746-7726 Save Mart Supermarkets (800) 692-5710 Savon (877) 932-7948 Schnucks (800) 264-4400 Shop N Save (314) 984-0900 Shopko (807) 917-333 Shoppers (800) 775-9888 Shoprite (800) 746-7748 Snyders Drug Stores (952) 935-5441 Stop & Shop (800) 767-7772 Super 1 (903) 534-3000 Super D Drugs (870) 535-2411 4
CHAIN PHARMACIES Super Fresh (866) 443-7374 Sweetbay (888) 218-3890 Target (800) 440-0680 Thrifty White (763) 513-4300 Tom Thumb (877) 723-3929 Tops Friendly Markets (800) 522-2522 United (888) 791-0220 USA Drug (870) 535-2411 Vons (877) 723-3929 Wal Mart (800) WALMART Waldbaums (866) 443-7374 Walgreens (800) 925-4733 Wegmans (800) WEGMANS Weis (570) 286-4571 Winn Dixie (866) 946-6349 Yokes (509) 921-2292 5
MAIL-ORDER PHARMACIES Ammed Homecare (615) 941-3800 Global Medical Direct (913) 422-1666 Liberty Direct Services Corp (800) 790-0330 Liberty Healthcare of Nevada (800) 491-3276 Liberty Medical (800) 491-3276 Liberty Medical (800) 467-8546 Liberty Medical of Ohio (800) 491-3276 Walgreens #2445 (407) 351-6151 Walgreens #3397 (480) 752-8200 Walgreens #5957 (503) 643-8511 Welldynerx (888) 479-2000 Welldynerx-Fl (888) 479-2000 WSP Mail Order (866) 458-9246 6
SPECIALTY PHARMACY The WellCare Specialty fills certain limited distribution, injectable biotech, and/or biologic medications for members. To place your order, contact the WellCare Specialty Care Team at the number listed below. Your medication will be delivered to your home, your doctor s office, or to an alternate location of your choice. For more information, please contact us toll-free at 1-866-892-9006, Monday-Thursday, 8 a.m. to 7 p.m. Eastern, and Friday, 8 a.m. to 6 p.m. Eastern. Or, send a fax to 1-866-892-8194 or email us at wsp@wellcare.com WellCare Specialty 1-866-892-9006 TTY 1-866-507-6135 filler 7
RETAIL PHARMACIES ALASKA Anchorage County Anchorage Alaska Native Medical Center Phcy 4315 Diplomacy Dr Anchorage, AK 99508 (907) 729-2107 Anchorage Medset 4101 Arctic Blvd Ste B Anchorage, AK 99503 (907) 770-6081 Anchorage Neighborhood Hlth Ctr Phc 1217 E 10th Ave Anchorage, AK 99501 (907) 257-4691 Bernies 4100 Lake Otis Pkwy 200 Anchorage, AK 99508 (907) 562-2138 Geneva Woods Medset 501 W International Airport RD Suite 20 Anchorage, AK 99518 (907) 562-2414 Geneva Woods Services 3801 Lake Otis Pkwy Ste 160 Anchorage, AK 99508 (907) 334-9400 Geneva Woods Professional Infusion 3101 Penland Pkwy Ste J11 Anchorage, AK 99508 (907) 297-1132 Great Land Infusion 2421 E Tudor RD Ste 107 Anchorage, AK 99508 (907) 561-2421 Hillside Family Medicine 9220 Lake Otis Parkway Ste 9 Anchorage, AK 99507 (907) 344-0200 Lake Otis 4201 Lake Otis Pkwy Anchorage, AK 99508 (907) 563-7878 Pioneers Home Phcy 923 W 11th Ave Anchorage, AK 99501 (907) 343-7294 Providence Health Park 3841 Piper Street Ste 4230 Anchorage, AK 99508 (907) 212-6868 Providence Medical Arts 3300 Providence Dr Ste 101 Anchorage, AK 99508 (907) 212-5090 Eagle River Family 11432 Business Blvd 10 Eagle River, AK 99577 (907) 694-7007 Bethel County Bethel Yukon Kuskokwim Delta Reg Hosp 700 Chief Eddie Hoffman Hwy Bethel, AK 99559 (907) 543-6000 8
RETAIL PHARMACIES ALASKA Cont Bristol Bay County Naknek Camai Community Health Center 2 School Road Naknek, AK 99633 (907) 246-6155 Dillingham County Dillingham Kanakanak Hospital 6000 Kanakanak RD Dillingham, AK 99576 (907) 842-9235 Fairbanks North Star County Fairbanks Chief Andrew Isaac Health Center 1408 19th Ave Fairbanks, AK 99701 (907) 459-3807 Denali 1650 Cowles St Dept 41 C Fairbanks, AK 99701 (907) 458-5615 Fairbanks Memorial Hosp Phcy 1650 Cowles St Dept 41 A Fairbanks, AK 99701 (907) 458-5610 Prescription Center 1919 Lathrop St Suite 109 Fairbanks, AK 99701 (907) 452-1514 Professional 1001 Noble St Fairbanks, AK 99701 (907) 452-2556 Haines County Haines Searhc Haines Phcy 131 First Ave S Haines, AK 99827 (907) 766-6300 Juneau County Juneau Foodland Super Drug 631 Willoughby Ave Juneau, AK 99801 (907) 586-2012 Juneau Drug Company 202 Front St Juneau, AK 99801 (907) 586-1233 Juneau Urgent Care 8505 Old Dairy RD Juneau, AK 99801 (952) 653-2568 Ron s Apothecary Shoppe 9101 Mendenhall Mall Juneau, AK 99801 (907) 789-0458 Searhc Junea 3245 Hospital Dr Juneau, AK 99801 (907) 463-4040 Kenai Peninsula County Homer Eagle 90 Sterling Hwy Homer, AK 99603 (907) 226-1060 Ulmer Drug and Hardware 3858 Lake St Ste 5 Homer, AK 99603 (907) 235-7760 9
RETAIL PHARMACIES ALASKA Cont Kenai Peninsula County Cont Kenai Three Bears 10575 Kenai Spur Hwy Kenai, AK 99611 (907) 335-2061 Soldotna Soldotna Professional 299 N Binkley St Soldotna, AK 99669 (907) 262-3800 Ketchikan Gateway County Ketchikan Island 3526 Tongass Ave Ketchikan, AK 99901 (907) 225-6186 Ketchikan Indian Corporation 2960 Tongass Ave Ketchikan, AK 99901 (907) 225-0320 Matanuska Susitna County Palmer Three Bears Alaska 8151 E Palmer Wasilla Hwy Palmer, AK 99645 (907) 746-3891 Wasilla Capstone Family Medicine 3223 E Palmer Wasilla Hwy Wasilla, AK 99654 (907) 357-9590 Geneva Woods Mat Su Medset 3674 E Country Field CR Wasilla, AK 99654 (907) 376-8200 Geneva Woods Mat Su 3674 E Country Field Circle Ste A Wasilla, AK 99654 (907) 376-8200 Mydoktors 950 E Bogard RD Ste 229 Wasilla, AK 99654 (907) 352-2870 10 Susitna Professional 1751 E Gardner Way Ste G Wasilla, AK 99654 (907) 373-7933 Nome County Nome Norton Sound Hlth Corp 306 W 5th Ave Nome, AK 99762 (907) 443-3311 North Slope County Barrow Samuel Simmonds Mem Hosp 1296 Agvik St Barrow, AK 99723 (907) 852-9277 Northwest Arctic County Kotzebue Maniilaq Health Center 5th St and Grizzley Kotzebue, AK 99752 (907) 442-7182
RETAIL PHARMACIES ALASKA Cont Prince Wales Ketchikan County Craig Whale Tail 333 Cold Storage RD PO Box 709 Craig, AK 99921 (907) 826-5750 Sitka County Sitka Searhc Mt Edgecumbe 222 Tongass Dr Sitka, AK 99835 (907) 966-2411 Valdez Cordova County Glennallen Cross Road Mile 187 Glenn Hwy Glennallen, AK 99588 (907) 822-3336 Valdez Village of Valdez Meals and Pioneer Valdez, AK 99686 (907) 835-3737 Southeast Fairbanks County Delta Junction Family Medical Center 2360 Service St Delta Junction, AK 99737 (907) 895-5109 Tok Tok Clinic L L C Mile 124.5 Tok Cutoff Tok, AK 99780 (907) 883-5855 11
HOME INFUSION PHARMACIES WellCare will cover home infusion therapy if: Your prescription drug is on the WellCare formulary or you have a formulary exception; WellCare has approved your prescription drug for home infusion therapy; and Your prescription is written by an authorized prescriber. ALASKA Anchorage County Anchorage Geneva Woods Professional Infusion 3101 Penland Pkwy Ste J11 Anchorage, AK 99508 (907) 297-1132 Great Land Infusion 2421 E Tudor RD Ste 107 Anchorage, AK 99508 (907) 561-2421 Kenai Peninsula County Soldotna Professional Home IV Phcy 182 S Birch St Soldotna, AK 99669 (907) 262-8737 12
LONG-TERM CARE PHARMACIES Residents of a long-term care facility may access their prescription drugs covered under WellCare through the facility s long-term care pharmacy or another network long-term care pharmacy. ALASKA Anchorage County Anchorage Anchorage Medset 4101 Arctic Blvd Ste B Anchorage, AK 99503 (907) 770-6081 Frontier Medical 907 E Dowling RD Ste 23 Anchorage, AK 99518 (907) 258-8618 Matanuska Susitna County Wasilla Susitna Mediset Services 1751 E Gardner Way Ste F Wasilla, AK 99654 (907) 352-4306 13
INDIAN HEALTH SERVICE/TRIBAL/URBAN INDIAN HEALTH PROGRAM (I/T/U) PHARMACIES Only Native Americans and Alaska natives have access to Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) Pharmacies through the WellCare pharmacy network. Those other than Native Americans and Alaska natives may be able to access these pharmacies under limited circumstances (e.g., emergencies). There are currently no Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) pharmacies available in this region. To get current information about WellCare Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) pharmacies in your area, please visit our website at www.wellcarepdp.com or call Customer Service at 1-888-550-5252, Monday Sunday, 8 a.m. to 2 a.m. Eastern. Between 2/15/12 and 10/14/12, representatives are available Monday Friday, 8 a.m. to 2 a.m. Eastern. TTY users should call 1-888-816-5252. 14
P.O. Box 31389 Tampa, FL 33631-3389 1-888-550-5252 TTY 1-888-816-5252 Hours of operation are Monday Sunday, 8 a.m. to 2 a.m. Eastern. Between 2/15/12 and 10/14/12, representatives are available Monday Friday, 8 a.m. to 2 a.m. Eastern. Or visit us anytime at www.wellcarepdp.com. 37957